scholarly journals Colposcopic and microbiological correlation in patients with vaginal infections: a prospective study

Author(s):  
Reena Sharma ◽  
Manjit Kaur Mohi ◽  
Khush Preet Kaur ◽  
Geeta Walia

Background: Objective of the study was to evaluate the association of abnormal vaginal flora with pathological colposcopic and microbiological findings.Methods: The present study was conducted in outpatient’s department of Obstetrics and Gynaecology, Government Medical College, Patiala. We studied 300 cases with symptoms and signs of vaginal infections in reproductive age group (15-49 years). After taking detailed history and examination, samples of vaginal discharge were collected for microbiological analysis and patients were subjected to colposcopy. Recorded data was analysed to find out any association of abnormal vaginal flora with pathological colposcopic and microbiological analysis.Results: The prevalence rate of vaginal infections was 31% among patients who reported to us with symptoms and signs of vaginal infections. The most common micro-organism detected was B. vaginosis (BV) in 14%, C. albicans (C) in 12% and T. vaginalis (T) in 3.33%. The normal colposcopic findings were observed in 81.33% and abnormal colposcopic findings were noted in 18.67% of the patients which were vaginal hyperaemia in 9%, chronic cervicitis in 5.33%, small iodine negative area in 2.33%, keratosis in 1.33% and cervical polyp in 0.67% of the patients.Conclusions: We concluded that vaginal discharge is a common gynaecological complaint and vaginal infections are an important cause of the vaginal discharge thus leading to significant proportion of female morbidity in reproductive age group. So, vaginitis and vaginal discharge highlights the importance of microbiological investigations to find out the causative organisms and the specific findings due to particular micro-organism can be correlated colposcopically and specific treatment can be provided.

2021 ◽  
Vol 8 (3) ◽  
pp. 196
Author(s):  
Reena Sharma ◽  
Poojan Dogra ◽  
Shuchi Sharma ◽  
. Shashikant ◽  
Sonakshi Tiwari

<p class="abstract"><strong>Background:</strong> The objective of the study was to evaluate the prevalence and association of abnormal vaginal flora with socio demographic profile of patients.</p><p class="abstract"><strong>Methods:</strong> The present study was undertaken in outpatient’s department of obstetrics and gynaecology, government medical college, Patiala. We studied 300 cases with symptoms and signs of vaginal infections in the reproductive age group (15-49 years). After taking detailed history, examination and collecting samples of vaginal discharge, patients were subjected to colposcopy followed by microbiological analysis of vaginal discharge. Recorded data was analysed for prevalence and sociodemographic profile of affected women.</p><p class="abstract"><strong>Results:</strong> The prevalence rate of vaginal infections was 31% among patients who had reported to us with symptoms and signs of vaginal infections. The most common micro-organism detected was <em>B. vaginosis</em> (BV) in 14%, <em>C. albicans </em>(C) in 12% and <em>T. vaginalis</em> (T) in 3.33%. It was analysed that association is more with 25-34 years age, low education level, lower socioeconomic status, unemployed and with married and multiparous group. White and watery discharge characteristic were found to be more common. Lower abdominal pain, dysuria and backache were the most prevalent co-morbidities associated with vaginal infections.</p><p class="abstract"><strong>Conclusions: </strong>We concluded that vaginal discharge is a common gynaecological complaint and vaginal infections are an important cause of vaginal discharge thus leading to significant proportion of female morbidity in sexually active age group. Education and women’s empowerment can prove powerful methods to solve this feminine issue.</p>


2020 ◽  
pp. 82-85
Author(s):  
Neha Jha ◽  
R. S. Prasad ◽  
P. N. Jha ◽  
Debarshi Jana

Background: An abnormal vaginal discharge is a common complaint in women and it can be due to vaginal infections like bacterial vaginosis, candidiasis and trichomoniasis. Aim: A descriptive cross sectional study was done at Microbiology Department, DMC, Laheriasarai, Bihar to find out the common pathogens which caused vaginosis in patients of the reproductive age group, who attended the Obstetrics and Gynaecology Department at the Darbhanga Medical College and Hospital, Laheriasarai, Bihar and referred to Microbiology Department of DMC, from 1st April to 30th September, 2020. Materials and Methods: All the 140 vaginal discharge samples were subjected to gram staining to view the morphological nature of the bacteria which caused bacterial vaginosis and gram positive, budding yeast cells, wet film for the motility of Trichomonas and Chlamydial antigen detection by ELISA. Results: The overall positivity was 44%, which included bacterial vaginosis (36.4%). The positivity of candidiasis was 4.2%, that of trichomoniasis was 2.1% and that of chlamydiasis was 1.4%. Conclusion: Bacterial vaginosis was found to be the commonest cause of the abnormal vaginal discharge in women of the reproductive age group.


2021 ◽  
Vol 15 (6) ◽  
pp. 1249-1252
Author(s):  
R. Mukhtar ◽  
A. U.- Rehman ◽  
A. Ilyas ◽  
M. J. Khan ◽  
R. Liaqat ◽  
...  

Aim: To determine the frequency of Bacterial vaginosis by pap smear cytology and find its association with its sociodemographic determinants. Study design: Cross sectional analytical study Place and duration of study: Department of Histopathology, Shaikh Zayed Hospital, Lahore from 1st January 2016 to 31st October 2016. Methodology: Two hundred and sixty pap smears of married women of reproductive age group with vaginal discharge who attended Gynecology OPD were included. Proper history regarding age, socioeconomic status, age of marriage, literacy level, smoking, and nutritional status was taken. Results: Disease prevalence was found to be 19.2%(50)in this sample of 260 while 9.1% had Candidiasis, 47%, 17.2% ,3.7%, 4.1% had Mild nonspecific inflammation, Moderate nonspecific inflammation, Moderate to severe nonspecific inflammation, and negative smears respectively. Bacterial vaginosis was associated with age, monthly income, illiteracy, early age at marriage, history of abortion and nutritional status with significant p-value ≤ 0.05. However no association was found between the disease and marital status, smoking and pallor. Conclusion: Low socioeconomic status, literacy, age >35, nutritional status is strongly related to occurrence of bacterial vaginosis in women of reproductive age group with vaginal discharge. Key Words: Bacterial vaginosis, Pap smear, Sociodemographic determinants


Author(s):  
Meena Salvi

Background: Vulvovaginal candidiasis (VVC) is a common infection among reproductive age group females. The objective of present study is to determine the prevalence of vulvovaginal candidiasis, its distribution and association of risk factors among reproductive age group females, attending the outpatient department of obstetrics and gynaecology of our Prime Medical Centre, Sharjah attached with Prime Hospital, Dubai, United Arab Emirates (UAE).Methods: It was cross-sectional descriptive study over a period of six months. Patients who came to our outpatient department with complains of vaginal discharge and itching in reproductive age group were included in this study. Patients characteristics i.e. age, parity, risk factors like diabetes, pregnancy, use of oral contraceptive pills (OCPills) and intrauterine contraceptive device (IUCD) were noted. High vaginal swabs (HVS) were collected and sent for culture. Candida positive cases were noted, and results were analyzed.Results: A total of 224 high vaginal swabs were collected. Prevalence of vulvovaginal candidiasis was found to be 31.6%. It was found more in 26-30 years age group and multiparous women. Previous history of candidiasis and diabetes were the commonest risk factors. Frequency of C. albicans was more (76.05%) than non-albicans candida (23.94%).Conclusions: Present study concluded that vulvovaginal candidiasis is more prevalent in reproductive age group females, therefore a routine high vaginal swab culture must be performed in every woman presenting with vaginal discharge and itching for correct diagnosis. Women should be educated on clinical symptoms.


2019 ◽  
Vol 10 (4) ◽  
pp. 2742-2744
Author(s):  
KalaBarathi S ◽  
Jayabharathi K

Leucorrhoea is one of the major problems encountered in Gynaecological practice. The most common cause of leucorrhoea is physiological, followed by vaginal infections due to bacteria, virus, fungi and parasites. Other causes include foreign bodies, cervicitis and atrophic vaginitis. The aim of the study is to assess the prevalence of leucorrhoea among women in reproductive age group and to determine the association between the demographic variable and prevalence of leucorrhoea. A Non-experimental descriptive design was used to assess the prevalence of leucorrhoea among women in reproductive age group. Purposive sampling method was used. A total of 60 reproductive age group women participated in the study. Checklist method was used to assess the prevalence of leucorrhoea. The data was collected, organized and analyzed in term of descriptive statistics. The findings of the study revealed that out of 60 samples, 28(46.66%) were mild, 32(53.33%) were moderate, and none of them was severe. There is a statistically significant association with variables such as age, a number of child, income and education at P<0.05 level. Thus this study reveals that leucorrhoea is most likely among women in reproductive age so as nurses should assess the early manifestations to prevent the gynaecological diseases.


Author(s):  
Rema V. Nair ◽  
Raja Preethi ◽  
M. Vijayalekshmi

Background: Vaginal discharge in reproductive age poses a serious problem in the developing countries. Bacterial vaginosis also known as non-specific vaginitis is the most common cause of vaginal infections, detecting the organism at an early stage and initiating a proper treatment is very difficult in our country due to lack of awareness and proper follow-up. The disease manifests in the form of vaginal discharge with or without itching. It has a strong association with preterm labor, preterm premature rupture of membranes and low birth weight in pregnancy. The objective of this study was to find out the prevalence of bacterial vaginosis among the reproductive age group women, in a tertiary care centre.Methods: A cross sectional study was conducted among 150 women of the reproductive age group in the department of obstetrics and gynaecology Sree Mookambika Institute of Medical Sciences over a period of one month October 2018 the diagnosis was made with history and nugents scoring system.Results: Out of the total 150 women enrolled in the study 74 had positive results, 50% of them were of the age group 26-30.Conclusions: The study shows us the high prevalence of bacterial vaginosis.


Author(s):  
A. Priya Arthy ◽  
Sangeeta Sen ◽  
A. Ganesh Kumar ◽  
R. Rajaram ◽  
G. Archunan

Background: The community based study was carried out in women of reproductive age group with a specific aim to evaluate the prevalence and risk factors of leucorrhoea.Methods: In this investigation, a total of 191 women who presented with gynaecological complaint of white discharge and seeking medical assistance was taken as a study sample for PAP smear. The basic details like socio demographic, past obstetric history and menstrual history were included prior to the smear study.Results: High prevalence of vaginal discharge was observed in the age group of 30-39, those who had two parity, previous obstetric history of normal vaginal delivery and usage of Copper T as a method of contraception. The binary logistics model explains the risk factors levels of abnormal vaginal discharge with 95% confident interval. Based on the data analysed, the age group of 30-39 and 40-49 are more likely to have a risk of 3.22 and 2.68 folds respectively. Likewise, the participants with the history of diabetes had a 2.08 folds increased risk of leucorrhoea rather than other complications and 2.21 folds of risk to those who used barrier methods like condom as a contraceptive method.Conclusions: The results concluded that the occurrence of vaginal discharge in women is age dependent and the most common risk factors for causing the vaginal discharge in the reproductive age group i.e. 30-49 years of age, are previous normal vaginal delivery, diabetes and usage of contraceptive methods like intra uterine contraceptive device and barrier methods.


KYAMC Journal ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 642-644
Author(s):  
Tanvin Khanam ◽  
Md Rafiqul Islam ◽  
Shamrin Sultana ◽  
Laila Yesmin

Objective: To asses the incidence of reproductive tract infection among the married women in the reproductive age group living in the rural area of Bangladesh.Study design: Retrospective studyMethod: Hospital based study done for a period of six month January 2013 to june 2013. Only married women suffering from reproductive tract infection were included.Result: Out of 1288 female patient attended for treatment in OPD, 582 (46.47%) were found affected by RTI. Women of age between 15-35 years were mostly affected (85%). Abnormal vaginal discharge (100%) and itching were the most common symptoms. The disease was more common among the illiterate women (72%) and in low socio-economic group (58%).KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 642-644


2017 ◽  
Vol 34 (1) ◽  
pp. 43
Author(s):  
MohammedE Soltan ◽  
AbdelsattarM Farhan ◽  
ElsayedA Eldesouky ◽  
EssamA Gaballah

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